Christopher Shane Smith
Christopher Shane Smith is a Physical Therapist in Private Practice in Peru, Illinois. Qualified in 2006, 20 years ago. Practices with West Tennessee Bone and Joint Clinic PC, a 63-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 20
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
1400 Midtown RdPeru, IL 61354
Phone: (815) 223-8600
Fax: (815) 223-4667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 070.015326 (IL) |
|---|
Record details
| NPI number | 1003281668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 8, 2015 |
| Last updated in NPPES | December 8, 2015 |
| Mailing address | 1400 Midtown Road, Peru, IL 61354 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | West Tennessee Bone And Joint Clinic Pc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peru
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Kendra Renee Herman, PT, ATC
2011 Rock St Ste E, Peru, IL 61354-1385 · (815) 220-0058